<div class="pageContent">
	<form method="post" action="<?php echo site_url('backend/agent/add')?>" class="pageForm required-validate" onsubmit="return validateCallback(this, navTabAjaxDone);">
		<div class="pageFormContent nowrap" layoutH="56">
			<dl>
				<dt>真实姓名：</dt>
				<dd><input name="realname" type="text" size="30" minlength="1" maxlength="10" class="required"/></dd>
			</dl>
			<dl>
				<dt>手机号：</dt>
				<dd><input name="username" type="text" size="30" minlength="5" class="required digits"/></dd>
			</dl>
			<dl>
				<dt>密码：</dt>
				<dd><input name="password" id="password" type="password" size="30" class="required alphanumeric" minlength="6"/></dd>
			</dl>
			<dl>
				<dt>确认密码：</dt>
				<dd><input name="passwdConf" type="password" size="30" class="required alphanumeric" equalto="#password" minlength="6"/></dd>
			</dl>
			<dl>
				<dt>请选择网点：</dt>
				<dd>
					<input class="required" name="district_districtName" type="text" size="50" readonly="readonly"/>
					<input type="hidden" class="required" name="district_id" type="text" style="width:300px" readonly/>
					<a class="btnLook" href="<?php echo site_url('backend/warehouse/addAgent')?>" lookupGroup="district">网点</a>	
				</dd>
			</dl>
			<dl>
				<dt>手持身份证照片：</dt>
				<dd>
					<input name="autodyne_id" value="" type="hidden">
					<input class="readonly" name="autodyne_filename" value="" readonly="readonly" type="text"/>
					<a class="btnAttach" href="<?php echo site_url('backend/agent/upload')?>" lookupGroup="autodyne" width="560" height="300" title="附件">附件</a>
				</dd>
			</dl>
			<dl>
				<dt>身份证正面照：</dt>
				<dd>
					<input name="front_id" value="" type="hidden">
					<input class="readonly" name="front_filename" value="" readonly="readonly" type="text"/>
					<a class="btnAttach" href="<?php echo site_url('backend/agent/upload')?>" lookupGroup="front" width="560" height="300" title="附件">附件</a>
				</dd>
			</dl>
			<dl>
				<dt>身份证反面照：</dt>
				<dd>
					<input name="reverse_id" value="" type="hidden">
					<input class="readonly" name="reverse_filename" value="" readonly="readonly" type="text"/>
					<a class="btnAttach" href="<?php echo site_url('backend/agent/upload')?>" lookupGroup="reverse" width="560" height="300" title="附件">附件</a>
				</dd>
			</dl>
			<dl>
				<dt>用户状态选择：</dt>
				<select name="role" class="required combox">
					<option value="2">网点负责人</option>
					<option value="1">小哥</option>
				</select>
			</dl>
			
			<dl>
				<dt>用户状态选择：</dt>
				<select name="status" class="required combox">
					<option value="10" selected="selected">启用</option>
					<option value="1">审核中</option>
					<option value="0">禁用</option>
				</select>
			</dl>
			
			<dl>
				<dt>绑定状态选择：</dt>
				<select name="status2" class="required combox">
					<option value="10">启用</option>
					<option value="0">禁用</option>
				</select>
			</dl>
			
		</div>
		<div class="formBar">
			<ul>
				<!--<li><a class="buttonActive" href="javascript:;"><span>保存</span></a></li>-->
				<li><div class="buttonActive"><div class="buttonContent"><button type="submit">保存</button></div></div></li>
				<li>
					<div class="button"><div class="buttonContent"><button type="button" class="close">取消</button></div></div>
				</li>
			</ul>
		</div>
	</form>
</div>
